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MT AUBURN URGENT CARE 2230 Auburn Avenue Cincinnati, OH 45219 PH: 5136212200 ! REGISTRATION FORM ! ! PATIENT NAME ! ! (last) (first) BIRTH DATE SEX: M × F EMAIL (middle) SS# ADDRESS ZIP ! ! ! (street)
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How to fill out mt auburn urgent care

How to fill out Mt Auburn Urgent Care:
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Start by visiting the Mt Auburn Urgent Care website or contacting their office to find out if you need to schedule an appointment or if walk-ins are accepted.
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Gather all necessary personal information such as your full name, date of birth, address, and contact details. It's important to have your insurance card readily available as well.
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Upon arrival at the facility, approach the front desk or reception area and let them know that you are there to fill out paperwork.
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You will be provided with a registration form to complete. This form will require you to provide your personal information, including your medical history, any allergies, and current medications you are taking.
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Note: It's always recommended to contact Mt Auburn Urgent Care or consult their website for specific details regarding their services, eligibility criteria, and operating hours.
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Mt Auburn Urgent Care is a medical facility that provides immediate medical attention for non-life-threatening illnesses and injuries.
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Patients can fill out necessary forms and provide information about their medical history, symptoms, and insurance details when visiting Mt Auburn Urgent Care.
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